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Individual
MRS. TUJUANA C GLENN OLAJIDE
Active
Individual
MRS. TUJUANA C GLENN OLAJIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
119695
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
4704180693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704180693
LICENSE
MI
05
—
4868152
—
MA
Enumeration date
06/22/2006
Last updated
03/27/2013
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